JOHN E MALLEY DPM NPI 1982608451

NPI Information

NPI: 1982608451
Provider Name: JOHN E MALLEY, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
2664 SW IMMANUEL DR.
PALM CITY, FL
ZIP 34990
Phone: (772) 288-3338
Get Directions

John E Malley, DPM is a primary podiatric medicine podiatrist in Palm City, FL. John E Malley, DPM NPI is 1982608451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2664 SW IMMANUEL DR.
PALM CITY, FL
ZIP 34990-738
Phone: (772) 288-3338
Fax: (772) 288-3341

The NPI 1982608451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/13/2005 and was last updated on 11/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	PO1806	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87971	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	87971	OTHER	FLORIDA	BCBS ID
3	T55628	MEDICARE UPIN	FLORIDA
4	5907190001	MEDICARE NSC	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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